Doctor Name: | MISS SHANNON HAMILTON |
NPI Number: | 1003055120 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 10605 Balboa Blvd Ste.100 Granada Hills, CA - 913446342 |
Business Phone Number: | 8188322400 |
Business Fax Number: | |
Mailing Address: | 10605 Balboa Blvd, Ste.100 GRANADA HILLS |
State: | CA |
Postal Code: | 913446342 |
Phone Number: | 8188322400 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2009 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |